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CTRI Number  CTRI/2026/03/106050 [Registered on: 12/03/2026] Trial Registered Prospectively
Last Modified On: 11/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Adaptation of Feeding and Eating in AutiSm Together (FEAST) for the Indian population 
Scientific Title of Study   Cross Cultural Adaptation and Pre-testing of Feeding and Eating in AutiSm Together (FEAST) for the Indian population 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Saakshi Trisha Neha Pinto 
Designation  Masters in Speech Language Pathology 
Affiliation  Manipal College of Health Professions  
Address  Department of Speech and Hearing ,Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104, India

Dakshina Kannada
KARNATAKA
576104
India 
Phone  9481921033  
Fax    
Email  saakshi.trisha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shivani Tiwari  
Designation  Associate Professor  
Affiliation  Department of Speech and Hearing ,Manipal College of Health Professions (MCHP) 
Address  Department of Speech and Hearing ,Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104, India

Dakshina Kannada
KARNATAKA
576104
India 
Phone  9986448718  
Fax    
Email  shivani.tiwari@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Shivani Tiwari  
Designation  Associate Professor  
Affiliation  Department of Speech and Hearing ,Manipal College of Health Professions (MCHP) 
Address  Department of Speech and Hearing ,Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104, India

Dakshina Kannada
KARNATAKA
576104
India 
Phone  9986448718  
Fax    
Email  shivani.tiwari@manipal.edu  
 
Source of Monetary or Material Support  
Self 
 
Primary Sponsor  
Name  Saakshi Trisha Neha Pinto 
Address  Department of Speech and Hearing, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104, India 
Type of Sponsor  Other [Self ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Saakshi Trisha Neha Pinto  Manipal College of Health Professions (MCHP)  Department of Speech and Hearing, room number 416 Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104, India
Udupi
KARNATAKA 
9481921033

saakshi.trisha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Health care Professionals (Phase 1) Parents of children with Autism Spectrum Disorder (Phase 2) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Adaptation (Phase I)
Inclusion criteria

1.All professionals should have a graduate degree and a minimum of two years’ experience working with autistic children in India

2.Parents (either mother, father) or any other primary caregiver who is directly involved in child’s caregiving of children with autism, who can read and write in English

Pre-testing (Phase II)
Inclusion criteria

1.Parents of children with autism (between the ages of 2 and 12 years), who can read and write English 
 
ExclusionCriteria 
Details  Adaptation (Phase I)
Exclusion criteria

1.Professionals without experience of working with autistic children

2.Parents of children with autism with severe motor, visual, hearing, or persistent health issues, intellectual disability (moderate to severe).

Pre-testing (Phase II)
Exclusion criteria

1.Parents of children with autism with severe motor, visual, hearing, or persistent health issues,
intellectual disability (moderate to severe).
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
For Content Validation, Content Validity Index (CVI) will be used Inter-rater
reliability will be assessed using Kappa and the Internal consistency will be checked by
Cronbach’s Alpha.  
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
While there are plenty of tools for feeding assessment in children, specific tools for feeding assessment in children with autism are limited. FEAST is one of the comprehensive tools for feeding assessment in children with autism, originally developed for Western dietary habits and does not reflect India’s diverse dietary habits, family structures, or environmental factors. The lack of cultural sensitivity and adaption hinders accurate diagnosis as well as intervention for feeding disorders in children with autism in India. Hence, this study is being conducted to have a culturally suitable tool that helps in identification of underlying etiology in children with autism in the Indian population.

Addressing feeding difficulties in children with ASD is a complex challenge that demands a multifaceted strategy. While the scales offer valuable insights, there are still substantial gaps, particularly regarding the integration of sensory and Oromotor factors, the creation of standardized scoring systems, cultural adaptations, and the examination of relational dynamics.  The FEAST tool stands out as a comprehensive assessment tool that bridges these gaps and pushes the field of feeding assessments in autism forward. It’s designed to evaluate mealtime challenges across four key areas: Sensory Processing, Oral Motor Skills, Behaviour, and Gastrointestinal Health. Not only does it provide total severity score and subscale scores to help with clinical planning, but it also demonstrates good construct validity and internal consistency, capturing unique feeding-related aspects that other tools don’t address. 

By filling this gap, FEAST comprehensively assesses the various factors that impact feeding in ASD. Studies show that the FEAST Total Score and Behaviour subscale correlate well with BAMBIC and STEPCHILD, confirming its measure of general feeding problems (St John et al., 2025). The Sensory, Oral Motor, and Gastrointestinal Health subscales show weak correlations with these other tools, which is interpreted as a benefit. It suggests that FEAST is capturing additional, distinct factors related to feeding challenges that other tools miss, providing a more detailed view. 

Given the lack of resources in the current Indian context, FEAST would serve as a efficient tool in assessing feeding and eating behaviours in children with Autism
 
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